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CMS RVU26D · Effective 2026-10-01

21209 in Modesto

Office / nonfacility

$841.44

Base rate per service

Facility setting

$569.08

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Facial bone surgery

About 21209: Reduction of facial bone prominence

Reports operative reshaping that reduces facial bone prominence, such as contouring an overprominent facial bone rather than augmenting or grafting it.

A surgeon reduces a prominent facial bone by removing or reshaping bone to change its contour. Plastic surgeons and oral and maxillofacial surgeons may perform this as facial skeletal contouring when the operative goal is to decrease bony prominence, rather than reconstruct a jaw or add volume with graft or implant material. The operative report should identify the bone treated and describe the reduction performed.

Report the service for the documented reduction, not for facial bone augmentation or bone grafting. Documentation should establish the treated site, the bony work performed, and the reason for contour reduction. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 21209

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.62 · 32%
  • Practice expense (office) RVU15.46 · 64%
  • Malpractice RVU0.93 · 4%

702

Medicare services in 2024 · #3257 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

21209 compared with similar codes

Office rates for Modesto, from the same CMS release.

21208

Bone augmentation

Facial bones

$1,762.22

21209 reduces facial bone prominence; 21208 addresses facial bone augmentation. Select based on whether the operation removes or reshapes bone to reduce prominence or adds volume.

21270

Cheek augmentation

Prosthetic material

$1,146.99

21270 is for cheekbone augmentation. Use 21209 when the documented procedure reduces facial bone prominence rather than augmenting the cheekbone.

21206

Maxillary osteotomy

Segmental upper jaw

No office rate

21206 describes reconstruction of the upper jaw. It is distinct from reduction performed to contour a facial bone without reconstructing the maxilla.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 21209 is $844.22—$2.78 higher than the $841.44 rate in Modesto. Both use the same code, release and participation basis.

21209 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $841.44

  2. Bakersfield

    $844.22

    $2.78 higher than Modesto

  3. Chico

    $841.44

    The same base rate than Modesto

  4. El Centro

    $841.60

    $0.16 higher than Modesto

  5. Fresno

    $841.44

    The same base rate than Modesto

  6. Hanford-Corcoran

    $841.44

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $896.45

    $55.01 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21209 ranges from $714.08 in Arkansas to $1043.78 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Merced

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Napa

    California · 21209

    Office

    $966.92

    Facility

    $639.39

    $125.48 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21209

    Office

    $891.35

    Facility

    $597.62

    $49.91 higher than Modesto for the office setting.

  • Redding

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21209

    Office

    $851.54

    Facility

    $579.18

    $10.10 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21209

    Office

    $880.87

    Facility

    $591.87

    $39.43 higher than Modesto for the office setting.

  • Salinas

    California · 21209

    Office

    $877.54

    Facility

    $589.52

    $36.10 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21209

    Office

    $896.57

    Facility

    $599.37

    $55.13 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21209

    Office

    $1021.04

    Facility

    $670.66

    $179.60 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21209

    Office

    $1019.99

    Facility

    $669.60

    $178.55 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21209

    Office

    $1043.78

    Facility

    $685.44

    $202.34 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21209

    Office

    $1039.46

    Facility

    $681.12

    $198.02 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21209

    Office

    $863.65

    Facility

    $580.60

    $22.21 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 21209

    Office

    $903.91

    Facility

    $601.98

    $62.47 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 21209

    Office

    $880.39

    Facility

    $590.63

    $38.95 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 21209

    Office

    $912.91

    Facility

    $607.75

    $71.47 higher than Modesto for the office setting.

  • Stockton

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 21209

    Office

    $965.39

    Facility

    $637.87

    $123.95 higher than Modesto for the office setting.

  • Visalia

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 21209

    Office

    $841.44

    Facility

    $569.08

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21209

    Office

    $911.12

    Facility

    $618.39

    $69.68 higher than Modesto for the office setting.

  • Miami

    Florida · 21209

    Office

    $870.62

    Facility

    $611.93

    $29.18 higher than Modesto for the office setting.

  • Chicago

    Illinois · 21209

    Office

    $846.55

    Facility

    $596.80

    $5.11 higher than Modesto for the office setting.

  • Manhattan

    New York · 21209

    Office

    $920.10

    Facility

    $631.34

    $78.66 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 21209

    Office

    $948.83

    Facility

    $684.18

    $107.39 higher than Modesto for the office setting.

  • Alabama

    Alabama · 21209

    Office

    $723.93

    Facility

    $506.49

    $117.51 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 21209

    Office

    $714.08

    Facility

    $500.62

    $127.36 lower than Modesto for the office setting.

  • Arizona

    Arizona · 21209

    Office

    $781.47

    Facility

    $540.68

    $59.97 lower than Modesto for the office setting.

  • Colorado

    Colorado · 21209

    Office

    $831.26

    Facility

    $566.85

    $10.18 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 21209

    Office

    $853.33

    Facility

    $585.69

    $11.89 higher than Modesto for the office setting.

  • Delaware

    Delaware · 21209

    Office

    $793.89

    Facility

    $548.37

    $47.55 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 21209

    Office

    $833.77

    Facility

    $582.03

    $7.67 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 21209

    Office

    $794.86

    Facility

    $557.29

    $46.58 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 21209

    Office

    $817.22

    Facility

    $564.75

    $24.22 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 21209

    Office

    $752.15

    Facility

    $530.49

    $89.29 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 21209

    Office

    $859.62

    Facility

    $577.07

    $18.18 higher than Modesto for the office setting.

  • Iowa

    Iowa · 21209

    Office

    $739.33

    Facility

    $511.95

    $102.11 lower than Modesto for the office setting.

  • Idaho

    Idaho · 21209

    Office

    $744.28

    Facility

    $515.65

    $97.16 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 21209

    Office

    $792.14

    Facility

    $563.52

    $49.30 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 21209

    Office

    $774.52

    Facility

    $547.64

    $66.92 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 21209

    Office

    $841.66

    Facility

    $586.45

    $0.22 higher than Modesto for the office setting.

  • Indiana

    Indiana · 21209

    Office

    $748.29

    Facility

    $517.93

    $93.15 lower than Modesto for the office setting.

  • Kansas

    Kansas · 21209

    Office

    $736.98

    Facility

    $512.33

    $104.46 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 21209

    Office

    $742.00

    Facility

    $521.08

    $99.44 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 21209

    Office

    $775.71

    Facility

    $541.87

    $65.73 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 21209

    Office

    $741.27

    Facility

    $521.34

    $100.17 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 21209

    Office

    $909.15

    Facility

    $612.44

    $67.71 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21209

    Office

    $827.09

    Facility

    $565.42

    $14.35 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21209

    Office

    $851.09

    Facility

    $584.44

    $9.65 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 21209

    Office

    $808.15

    Facility

    $556.67

    $33.29 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 21209

    Office

    $748.90

    Facility

    $520.28

    $92.54 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 21209

    Office

    $785.85

    Facility

    $539.58

    $55.59 lower than Modesto for the office setting.

  • Detroit

    Michigan · 21209

    Office

    $805.19

    Facility

    $565.39

    $36.25 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 21209

    Office

    $761.04

    Facility

    $534.15

    $80.40 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 21209

    Office

    $795.06

    Facility

    $539.35

    $46.38 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 21209

    Office

    $769.74

    Facility

    $536.40

    $71.70 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 21209

    Office

    $777.23

    Facility

    $540.66

    $64.21 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 21209

    Office

    $729.89

    Facility

    $515.68

    $111.55 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 21209

    Office

    $722.07

    Facility

    $508.11

    $119.37 lower than Modesto for the office setting.

  • Montana**

    Montana · 21209

    Office

    $801.89

    Facility

    $553.39

    $39.55 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 21209

    Office

    $756.14

    Facility

    $524.29

    $85.30 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 21209

    Office

    $783.50

    Facility

    $535.00

    $57.94 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 21209

    Office

    $742.87

    Facility

    $513.51

    $98.57 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 21209

    Office

    $819.24

    Facility

    $560.55

    $22.20 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 21209

    Office

    $902.72

    Facility

    $614.46

    $61.28 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 21209

    Office

    $862.66

    Facility

    $591.29

    $21.22 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 21209

    Office

    $765.34

    Facility

    $537.46

    $76.10 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 21209

    Office

    $797.28

    Facility

    $548.53

    $44.16 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21209

    Office

    $942.46

    Facility

    $646.99

    $101.02 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21209

    Office

    $868.99

    Facility

    $596.88

    $27.55 higher than Modesto for the office setting.

  • Queens

    New York · 21209

    Office

    $925.96

    Facility

    $632.22

    $84.52 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 21209

    Office

    $766.91

    Facility

    $530.83

    $74.53 lower than Modesto for the office setting.

  • Ohio

    Ohio · 21209

    Office

    $757.28

    Facility

    $530.40

    $84.16 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 21209

    Office

    $739.78

    Facility

    $517.86

    $101.66 lower than Modesto for the office setting.

  • Portland

    Oregon · 21209

    Office

    $855.39

    Facility

    $579.31

    $13.95 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 21209

    Office

    $790.66

    Facility

    $543.16

    $50.78 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21209

    Office

    $833.70

    Facility

    $575.01

    $7.74 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21209

    Office

    $757.90

    Facility

    $529.78

    $83.54 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 21209

    Office

    $807.17

    Facility

    $555.93

    $34.27 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 21209

    Office

    $820.48

    Facility

    $563.77

    $20.96 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 21209

    Office

    $758.05

    Facility

    $528.43

    $83.39 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 21209

    Office

    $781.33

    Facility

    $532.83

    $60.11 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 21209

    Office

    $740.58

    Facility

    $514.69

    $100.86 lower than Modesto for the office setting.

  • Austin

    Texas · 21209

    Office

    $828.87

    Facility

    $565.96

    $12.57 lower than Modesto for the office setting.

  • Beaumont

    Texas · 21209

    Office

    $753.28

    Facility

    $527.14

    $88.16 lower than Modesto for the office setting.

  • Brazoria

    Texas · 21209

    Office

    $792.51

    Facility

    $546.24

    $48.93 lower than Modesto for the office setting.

  • Dallas

    Texas · 21209

    Office

    $797.77

    Facility

    $550.26

    $43.67 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 21209

    Office

    $793.01

    Facility

    $547.99

    $48.43 lower than Modesto for the office setting.

  • Galveston

    Texas · 21209

    Office

    $795.03

    Facility

    $548.27

    $46.41 lower than Modesto for the office setting.

  • Houston

    Texas · 21209

    Office

    $812.06

    Facility

    $565.29

    $29.38 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 21209

    Office

    $772.61

    Facility

    $536.78

    $68.83 lower than Modesto for the office setting.

  • Utah

    Utah · 21209

    Office

    $767.80

    Facility

    $534.21

    $73.64 lower than Modesto for the office setting.

  • Virginia

    Virginia · 21209

    Office

    $784.04

    Facility

    $539.77

    $57.40 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21209

    Office

    $807.17

    Facility

    $555.93

    $34.27 lower than Modesto for the office setting.

  • Vermont

    Vermont · 21209

    Office

    $781.45

    Facility

    $535.43

    $59.99 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 21209

    Office

    $825.21

    Facility

    $563.53

    $16.23 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 21209

    Office

    $926.21

    Facility

    $621.30

    $84.77 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 21209

    Office

    $758.77

    Facility

    $520.71

    $82.67 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 21209

    Office

    $747.70

    Facility

    $531.75

    $93.74 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 21209

    Office

    $793.88

    Facility

    $545.38

    $47.56 lower than Modesto for the office setting.

See how rates vary across the country

21209 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$714.08

$948.83

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$948.831
AL$723.931
AR$714.081
AZ$781.471
CA$841.44–$1,043.7829
CO$831.261
CT$853.331
DC$911.121
DE$793.891
FL$794.86–$870.623
GA$752.15–$817.222
GU$859.621
HI$859.621
IA$739.331
ID$744.281
IL$774.52–$846.554
IN$748.291
KS$736.981
KY$742.001
LA$741.27–$775.712
MA$827.09–$909.152
MD$808.15–$911.123
ME$748.90–$785.852
MI$761.04–$805.192
MN$795.061
MO$729.89–$777.233
MS$722.071
MT$801.891
NC$756.141
ND$783.501
NE$742.871
NH$819.241
NJ$862.66–$902.722
NM$765.341
NV$797.281
NY$766.91–$942.465
OH$757.281
OK$739.781
OR$790.66–$855.392
PA$757.90–$833.702
PR$807.171
RI$820.481
SC$758.051
SD$781.331
TN$740.581
TX$753.28–$828.878
UT$767.801
VA$784.04–$911.122
VI$807.171
VT$781.451
WA$825.21–$926.212
WI$758.771
WV$747.701
WY$793.881

Explore 21209 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 21209 in Modesto, the physician’s office rate is $841.44 and the facility-setting rate is $569.08: a difference of $272.36.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21209 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$925.58

$841.44 × 110% = $925.58

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21209 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

1,915

Code
21209
Physician work
7.62
Practice expense
15.46
Malpractice
0.93

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 21209 in Modesto
ComponentRVULocality factorAdjusted
Physician work7.62× 1.0177.7495
Practice expense15.46× 1.09616.9442
Malpractice0.93× 0.5360.4985
Total RVUs25.1922
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$841.44

Open 21209 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.621.017
Practice expense15.461.096
Malpractice0.930.536

(7.62 × 1.017 + 15.46 × 1.096 + 0.93 × 0.536) × $33.4009 = $841.44

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.621.017
Practice expense8.021.096
Malpractice0.930.536

(7.62 × 1.017 + 8.02 × 1.096 + 0.93 × 0.536) × $33.4009 = $569.08

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

21209 · Office / nonfacility

$841.44

Effective 2026-10-01

The base rate is $38.37 higher than on 2025-10-01, moving from $803.07 to $841.44 (4.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $803.07changed to$841.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.82 changed to 7.62
    • Practice expense RVU 15.05 changed to 15.46
    • Malpractice RVU 0.80 changed to 0.93
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $803.07

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$841.44$569.08RVU26D
2026-07-01$841.44$569.08RVU26C
2026-04-01$841.44$569.08RVU26B
2026-01-01$841.44$569.08RVU26A
2025-10-01$803.07$611.09RVU25D
2025-07-01$803.07$611.09RVU25C
2025-04-01$803.07$611.09RVU25B
2025-01-01$803.07$611.09RVU25A

21209 billing questions

How is reduction distinguished from facial bone augmentation?

Use 21209 when the operative goal is to reduce bony prominence. Code 21208 describes augmentation of facial bones, an opposite contouring goal.

Should modifier 50 be reported for reduction on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What documentation supports reporting 21209?

The operative report should identify the facial bone treated and describe the bone removal or reshaping that reduced its prominence.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or another surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 21209PPRRVU2026_Oct_nonQPP.csv, line 1,915 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet